FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to dermatovenereology and cosmetology, and can be used for treating the patients with excoriated acne. That is ensured by prescribing a complex therapy with simultaneous oral administration of isotretinoin in low doses according to an intermittent schedule: 8 mg a day regardless of body weight in one dose for 4 months, then 8 mg every 5 days a week, then 8 mg every 3 days a week, then 8 mg every 2 days a week, then 8 mg once a week, wherein stepwise dose adjustment is performed monthly. Damage centers are also exposed to spatially modulated radiation of erbium laser (Er/YAG) with wave length 2,936 nm, pulse energy 0.1–2 J, pulse repetition frequency 2–3 Hz, pulse duration 0.1–0.3 ms, density energy 2–3 J/cm2, processing of surface in scanning mode with overlapping of spots by 1/3 in one pass, time of laser exposure is 5–20 minutes, course – 3 procedures, carried out with interval of 2 months. Psychocorrective action is also performed depending on the psychopathological structure of the symptom complex underlying the autodestructive actions (compulsive, impulsive, overvalued).
EFFECT: method provides higher clinical effectiveness in EA by pronounced anti-acne, anti-inflammatory, dermato-protective effect, as well as local effect on posture with significant reduction of risk of self-injurious behaviour and formation of aesthetic skin defects, increased remission period, reduced frequency of recurrences and improved quality of life of patients.
1 cl, 3 ex
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Authors
Dates
2019-09-03—Published
2018-05-30—Filed